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女性生殖器结核452例分析及腹腔镜诊断价值探讨 被引量:12

The Diagnostic Value of Laparoscopy in Female Genital Tuberculosis
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摘要 目的:探讨女性生殖器结核(female genital tuberculosis,FGT)的临床情况以及腹腔镜在FGT诊断中的价值。方法:回顾性分析1990~2005年腹腔镜诊断FGT452例患者的临床资料。结果:FGT发生率逐渐升高,1990年1月至1995年1月、1995年2月至2000年2月、2000年3月至2005年3月,FGT占不孕妇女的比例分别是6.80%、8.82%和9.76%。FGT误诊率68.14%。腹腔镜诊断452例中,早期病例38例,占8.41%。治疗后宫内妊娠率6.19%,异位妊娠率3.32%。结论:FGT发生率逐渐升高、误诊率高,腹腔镜能提高FGT的早期诊断率、降低误诊率,为FGT的及时治疗提供重要的依据。 Objective:To investigate the morbidity of female genital tuberculosis (FGT), the rate of misdiagnosis and the diagnostic value of laparoscopy in FGT. Methods:452 cases of FGT were retrospectively analyzed between January 1990 and March 2005 in the West China Second Hospital, Sichuan University. Results: The morbidity of FGT has increased since 1990,the proportion of FGT in infertile women was 6.80%,8.82%, and 9.76% in 1990 to 1995,1995 to 2000, and 2000 to 2005, respectively. The misdiagnosis rate of FGT was high to 68.14%. In 452 FGT diagnosed by Laparoscopy, there was 38 early stage cases that accounted for 8.41%. After treatment, intrauterine pregnant rate was 6.19% and ectopic pregnant rate was 3.32%. Conclusions:The morbidity of FGT is increasing with higher misdiagnosis rate. The laparoscepy may reduce the misdiagnosis rate of FGT through increasing early diagnosis, and provide strong evidence for the prompt treatment of FGT. The laparoscopy is considered to be the best method for the early diagnosis of FGT.
出处 《实用妇产科杂志》 CAS CSCD 北大核心 2006年第11期662-665,共4页 Journal of Practical Obstetrics and Gynecology
关键词 女性生殖器结核 腹腔镜 误诊率 Female genital tuberculosis (FGT) Laparoscopy Rate of misdiagnosis
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